Chinese Journal of Dermatology ›› 2004, Vol. 37 ›› Issue (11): 638-641.

Previous Articles     Next Articles

Analysis of In Vitro Antifungal Susceptibility of Vaginal Isolates of Candida spp.

LIAN Cui-hong, CUI Fan, SHEN Yong-nian, CHEN Wei, LIU Wei-da   

  1. Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing 210042, China
  • Received:2003-11-01 Online:2004-11-15 Published:2004-11-15

Abstract: Objectives To analyse the antifungal susceptibility of Candida spp.isolated from the patients with recurrent vulvovaginal candidiasis (RVVC),vulvovaginal candidiasis (VVC) and asymptomatic carriers and to study the correlation between different Candida strains and antifungal susceptibility.Method According to the NCCLS-M27-A scheme,the antifungal susceptibility of Candida spp.isolated from the above different groups was measured.Results Almost all the MICs of C. glabrata and C. krusei to 8 antifungal agents were higher than those of C. albicans .The average MIC of C. albicans isolated from RVVC patients was higher than that from asymptomatic carriers.The resistant strains were mainly isolated from the RVVC group.No resistant strains against itraconazole,fluconazole,ketoconazole,econazole and nystatin was found in asymptomatic carriers.Conclusions These results indicate that more attention has to be paid to the low susceptibility of non-Candida albicans in the treatment of vulvovaginal candidiasis,and the resistant strains may result from long-term or irregular antifungal treatment.

Key words: Candidiasis,vulvovaginal, Candida, Antifungal agents, Microbial sensitivity tests